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A collaborative effort by Helmholtz Munich, the German Diabetes Center, and the German Center for Diabetes Research

How high is my risk of cardiovascular disease?

Why should you know your risk of cardiovascular disease?

The term cardiovascular disease describes the various diseases of the heart and the blood vessels. These include heart attack and stroke. They are triggered when tissue parts of the heart or brain are not sufficiently supplied with blood or the corresponding blood vessels rupture.

Heart attacks and strokes usually come as a surprise to the people affected. They can lead to reduced physical performance, long-term motor or nerve damage and, in the worst case, death.

 

Use the Cardiovascular Disease Risk Score to determine your personal risk of developing a heart attack or stroke in the next 10 years. If your risk is increased, you can actively reduce it by changing your lifestyle. The risk test was developed by the German Institute of Human Nutrition Potsdam-Rehbrücke (DIfE) and financially supported by the German Center for Diabetes Research (DZD).

The Cardiovascular Disease Risk Score has been designed for people who have not yet been diagnosed with a heart attack or stroke. This means that you cannot do the test if you already have or have had one of the cardiovascular diseases mentioned.

What is the meaning of the test results?

The test shows what you can do personally to prevent a heart attack or stroke. In principle, the following applies: A healthy lifestyle with a balanced diet, plenty of exercise, no or as little alcohol consumption as possible, no smoking, little stress and sufficient sleep can significantly reduce the risk of cardiovascular disease.

You can find more information on what you can do to prevent the development of cardiovascular disease here.

 

Please note that even people at low risk can fall ill. People at high risk, on the other hand, can remain healthy. Avoiding or reducing risk factors is no guarantee of not falling ill.

Good to know:

Another test instrument for determining the 10-year risk of cardiovascular disease is the SCORE2 (Systematic COronary Risk Evaluation) of the European Society of Cardiology (ESC). The risk test is aimed at people aged between 40 and 69 in Europe who have not previously suffered a heart attack, stroke or diabetes.

SCORE2 divides European countries into low- and high-risk countries based on the risk of developing new cardiovascular diseases and offers correspondingly adapted risk calculations. Germany is classified as a country with a moderate risk.

Clinical markers such as blood pressure and blood lipid values (total, HDL and LDL cholesterol) are required to use SCORE2.

The following link will take you to the SCORE2 calculator of the European Society of Cardiology for countries with a moderate risk (e.g. Germany): SCORE2 Calculator


How is the personal risk calculated?

The risk calculation is based on correlations observed in the Brandenburg Nutrition and Cancer Study (EPIC Potsdam Study). Since 1994, 27,548 men and women of adult age have taken part in this study. It is part of the largest prospective (future-oriented) European nutrition study to date, EPIC (European Prospective Investigation into Cancer and Nutrition), with 23 centers in 10 European countries. The study reveals links between nutrition, cancer and other chronic diseases such as type 2 diabetes and cardiovascular diseases.

In the test, each question is assigned a factor that contributes to the risk of heart attacks and strokes in varying degrees. This means that each factor has a specific value that is offset against the values you enter. The sum of the intermediate results can then be used to determine the probability that you will suffer a heart attack or stroke within the next 10 years.

The methods for calculating the 10-year disease risk were tested for validity in the Heidelberg EPIC study with 25,543 participants and also confirmed for the 10-year diabetes risk in the BGS98 cohort representative of Germany with 3,959 participants. The development, validation and further development of the DIfE – DEUTSCHER DIABETES-RISIKO-TEST® and the DIfE – Cardiovascular Disease Risk Score have been published in journals such as Diabetes Care, Diabetes Research and Clinical Practice, BMJ Open Diabetes Research & Care, Deutsches Ärzteblatt international and Scientific Reports.

Sources:

Deutsches Institut für Ernährungsforschung: Herz-Kreislauf-Erkrankungs-Risiko-Test. (Letzter Abruf: 07.05.2024)
Schiborn, C. et al.: A newly developed and externally validated non-clinical score accurately predicts 10-year cardiovascular disease risk in the general adult population. In: Sci Rep, 2021, 11: 19609
SCORE2 working group and ESC Cardiovascular risk collaboration: SCORE2 risk prediction algorithms: new models to estimate 10-year risk of cardiovascular disease in Europe. In: Eur Heart J, 2021, 42: 24392-2454
Visseren, F. L. J. et al.: 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. In: Eur Heart J, 2021, 42: 3227-3337
As of: 07.05.2024